Efficacy of prism adaptation in the surgical management of acquired esotropia. Prism Adaptation Study Research Group

Archives of Ophthalmology

Abstract

Prism adaptation, the preoperative use of prisms in acquired esotropia to determine the maximum angle of strabismus and to estimate fusional potential, has been suggested as a method of improving the results of initial surgery and minimizing the rate of reoperation. We performed a prospective, randomized, multicenter clinical trial of the effectiveness of prism adaptation. Two levels of randomization were used. Sixty percent of the patients underwent prism adaptation and 40% did not. Of those who responded to prisms with motor stability and sensory fusion, half underwent a conventional amount of surgery and half underwent augmented surgery based on the prism-adapted angle of deviation. Success rates were highest (54 [89%] of 61 patients) in prism adaptation responders who underwent augmented surgery and lowest (92 [72%] of 127 patients) in patients who did not undergo prism adaptation. Prism responders had better results with augmented surgery than with conventional surgery (54 [89%] of 61 patients vs 53 [79%] of 67 patients, P = .23). Our results indicated a significant beneficial overall effect of prism adaptation in patients with acquired esotropia (success rates, 83% vs 72%, P = .04). Although the process requires some addi...Continue Reading

Associated Clinical Trials

Citations

May 29, 1999·Quality in Health Care : QHC·J BamfordT A Sheldon
Jan 9, 2004·Ophthalmology·Pamela J Kutschke, William E Scott
Jan 1, 1994·Documenta Ophthalmologica. Advances in Ophthalmology·M ZehetmayerB Schneider
Mar 10, 2007·The New England Journal of Medicine·Sean P Donahue
Feb 1, 1993·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·H OhtsukiM Okano
Jan 1, 1993·Ophthalmology·R J MorrisC F Dickey
Aug 1, 1996·Ophthalmology·J L Mims
Apr 25, 2012·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Steven M Archer
Feb 24, 2009·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Michael X Repka
Dec 26, 2006·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Noa Ela-DalmanFederico G Velez
Oct 26, 1999·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·M MillicentE G Buckley
Oct 3, 2006·American Journal of Ophthalmology·Gregg T Lueder, Alan A Norman
Aug 21, 2013·Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society·Darren T Oystreck, Christopher J Lyons
Jun 19, 2001·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·P J Kutschke, R V Keech
Dec 24, 2004·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Paolo NucciAmy K Hutchinson
Feb 25, 2017·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Clare QuigleyPaul Mullaney
Apr 15, 2008·Journal of Pediatric Ophthalmology and Strabismus·Rehab R Kassem
Jan 1, 1993·Eye·J M Keenan, H E Willshaw
Jan 1, 1993·Eye·T Murray
Oct 7, 2011·The Cochrane Database of Systematic Reviews·Alex PollockUma Shahani
Oct 23, 1997·Ophthalmic Epidemiology·B CrawleyK Dickersin
Nov 11, 2010·The American Orthoptic Journal·Katherine J Fray
Oct 15, 2014·The American Orthoptic Journal·Terra Haller, Bruce A Furr
Mar 24, 2020·Journal of Pediatric Ophthalmology and Strabismus·Rehab R KassemSaid A El-Antably
Oct 27, 2018·European Journal of Ophthalmology·Rehab R Kassem
Apr 1, 1995·Acta Ophthalmologica Scandinavica·C M Leach, J P Burke
Feb 1, 1994·Acta Ophthalmologica·M ZehetmayerM Schemper
Jan 1, 2004·The American Orthoptic Journal·Mark S RuttumPauline Hong
Jan 1, 1995·Acta Ophthalmologica Scandinavica. Supplement·E C Campos
Jan 1, 2005·The American Orthoptic Journal·Gill Roper-Hall
Jan 1, 2004·The American Orthoptic Journal·William E Scott, Pamela J Kutschke
Feb 22, 2017·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·U PichlerO Ehrt
May 1, 2021·Klinische Monatsblätter für Augenheilkunde·Leila Sara EppenbergerVeit Sturm
Dec 31, 2005·Journal of Pediatric Ophthalmology and Strabismus·Gustavo SavinoAnna Dickmann
Jul 1, 2004·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·J Mark Engel, Sepideh Tara Rousta
Jul 29, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Zhiyue DaiXinping Yu
Aug 26, 2021·Acta Ophthalmologica·Ulrike PichlerAnna Sophie Mursch-Edlmayr

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